Get Students - Duke Parking And Transportation - Duke University

This guide provides a clear and supportive approach to completing the Students - Duke Parking And Transportation form for special parking requests due to medical needs. Users will find detailed instructions for each section of the form to ensure a comprehensive submission.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to access the application and open it in the editing interface.
2. Begin by entering your personal information. Fill in your name, today's date, Duke Unique ID, date of birth, local or campus address, phone number, and Duke email address. Ensure all details are accurate and legible.
3. Provide your signature and the date to authorize the release of your medical information to Duke Parking & Transportation and your healthcare provider. This step is crucial for the processing of your request.
4. Now, navigate to the Healthcare Provider section of the form. This part must be completed by the medical professional. They will need to document the diagnosis, ICD 9 code, and provide a detailed description of your condition.
5. The healthcare provider should indicate the maximum distance you are able to walk at one time and whether you have difficulty with stairs, along with your ability to use public transit services like the bus.
6. Further, they must specify how long you will require special parking. This should be a specific duration based on your medical needs.
7. Once all sections are filled out, the healthcare provider should sign and date the form. They should also include their printed name, address, and contact information.
8. After ensuring all information is completed and accurate, submit the form to the Medical Director at Duke Student Health via the provided address or fax number.
9. You can download, print, or share the filled form for your records and confirmation after submission.

Complete your special parking request online today to ensure your medical needs are met.